Organization
COASTAL AUTISM THERAPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL FORD APRN-BC, BCBA, LBA (CEO)
(912) 507-1553
Entity
Organization
Contact information
Practice address
110 PIPEMAKERS CIR STE 116, POOLER, GA 31322-4168
(912) 330-7171
(888) 413-4567
Mailing address
110 PIPEMAKERS CIR STE 116, POOLER, GA 31322-4168
(912) 507-1553
(888) 413-4567
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/23/2009
Last updated
05/11/2026
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